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Medical Forum / Diseases and Disorders / Prostate BPH / March 2005Biopsy Results Question
My last DRE revealed a "grainy" pea-sized, nodule on my prostate and a PSA >1 . So my urologist suggested I have a biopsy which, thankfully, revealed no tumor in any of the 16 samples taken. I was, however, surprised to find that the pathology report failed to characterize the samples as anything other than "No tumor present," considering that a pathologist evidently had to examine the samples microscopically, and this failure still leaves my urologist and I wondering what the abnormal area is. Since the hospital I went to is a well-respected, teaching hospital, I was wondering if the failure to characterize prostate tissue as other than tumorous or non-tumerous is standard procedure elsewhere in the country. In addition, I was wondering what the chances are that this tissue, as opposed to normal tissue, will become cancerous, since my urologist told me that if a follow-up PSA in 6 months showed a rise, he'd want to do another biopsy. Thanks very much in advance for the info. BTW, the biopsy was completely painless, because it was done in the hospital under mild anaesthesia, and I was out and normal in a few hours . So I'd highly recommend that it be done this way. On February 25, Tom Lawrance wrote, in pertinent part: > I was, however, surprised to find that the pathology report failed to > characterize the samples as anything other than "No tumor present," [quoted text clipped - 9 lines] > urologist told me that if a follow-up PSA in 6 months showed a rise, > he'd want to do another biopsy. Seems surprising to me, too. No mention of prostatic intra-epithelial neoplasia (PIN)? Nor of inflammation? PIN is thought to be a precursor of PCa. Inflammation could be from, e.g., infection. The uro might prescribe a medication such as Cipro for that. But OTOH, inflammation should raise PSA and <1 makes it seem unlikely. I recommend that the slides and paraffin block be sent to one of the well-respected labs that specialize in prostate biopsy studies. They can be found listed on the website of Prostate Cancer Research Institute at http://prostate-cancer.org/index.html The uro should also have such info. My second opinion was done by Bostwick in Virginia. Cost = $340. Insurance covered. I found it to be very much more informative than the report from the local path lab. I would not let this lie. I'd want to know not only what it isn't but what it *is.* (snip) > BTW, the biopsy was completely painless, because it was done in the > hospital under mild anaesthesia, and I was out and normal in a few > hours . So I'd highly recommend that it be done this way. Me, too. Only way to fly. Regards, Steve J Attention Posters: There is a "cancer" newsgroup and a "BPH" newsgroup. Please don't confuse them when you decide where to post. There is a reason that they're separate. Thanks, Ron > From: Stephen Jordan <mycroftscj@earthlink.net> > Organization: EarthLink Inc. -- http://www.EarthLink.net [quoted text clipped - 53 lines] > > Steve J On February 25, the top-posting Ron wrote, quoting me: > Attention Posters: > There is a "cancer" newsgroup and a "BPH" newsgroup. Please don't confuse > them when you decide where to post. There is a reason that they're separate. > Thanks, > Ron Attention Ron: Tom crossposted to both groups, so I chose to respond in the same manner. I do know how to manage my newsgroup postings, thank you. Regards, Steve J PS: Top-posting is contrary to Usenet protocol. An expert on so called "protocol" who can't post to the proper group! > From: Stephen Jordan <mycroftscj@earthlink.net> > Organization: EarthLink Inc. -- http://www.EarthLink.net [quoted text clipped - 21 lines] > > PS: Top-posting is contrary to Usenet protocol. Hello, What is top-posting ? Is there an official Usenet protocol and if so do you have a link to it ? Thanks Richie >On February 25, the top-posting Ron wrote, quoting me: > > [quoted text clipped - 14 lines] > >PS: Top-posting is contrary to Usenet protocol. On February 27, daddyo inquired: > What is top-posting ? Is there an official Usenet protocol and if so > do you have a link to it ? Top posting, aka in-line posting, is covered here: http://www.river.com/users/share/etiquette/ Unfortunately, all too many people revel in their ignorance and lack of regard for others. They seem proud of their boorishness. Regards, Steve J Hello Steve, Sorry to top post again,but I read the etiquette page and whilst agreeing with their guidelines on every thing else,I'm not so sure about top posting. The fact is that nearly everyone does it ,and in 8 years of usenet I have never seen any complaint about the practice. I can't see that it causes any problems in this group but I can see how in a long and involved discussion in a more technical group,top posting could cause problems. Anyway ,I am glad I know now,and not intending to start a dispute,I would be interested in other views on the matter. The section on "judicious quoting " is definitely valid and probably the use of top posting is to overcome the need to scroll down reams of repeated text. The bottom line is that it requires a more disciplined approach to posting and it is unrealistic to expect all casual users to bother with the finer points. I personally will try to follow the guidelines from now on. (hey ! don't hold me to that....) regards Richie >On February 27, daddyo inquired: >> [quoted text clipped - 11 lines] > >Steve J Exactly why top posting is a good idea. Rule: If you have one point to make then top post. If you have several points to make then intersperse your comments with quotes from the other poster, suitably [snip]ped. > Hello Steve, > [quoted text clipped - 35 lines] >> >>Steve J PLEASE - can we stop this "TOP POST Vs BOTTOM POST" stuff? It's ALL crap. However a person chooses to post, no-one can change it and there is no "rule" as to how you HAVE to post. If a rule were to be enforced then we couldn't actually do the style of posting that the program disallows. Just live with it. We have much more serious issues in here. > Exactly why top posting is a good idea. Rule: > [quoted text clipped - 40 lines] >>> >>>Steve J You just did it, you naughty boy. Hey - me too. Oh well. > From: rgh@opera.com (daddyo) > Reply-To: rgh@opera.com [quoted text clipped - 28 lines] >> >> PS: Top-posting is contrary to Usenet protocol. Perhaps you are unaware of the fact that more than 1 in 10 of prostate problems which are initially diagnosed as being BPH are eventually proved to be cancer. >Attention Posters: >There is a "cancer" newsgroup and a "BPH" newsgroup. Please don't confuse >them when you decide where to post. There is a reason that they're separate. >Thanks, >Ron Yes. and that's why it is free and easy to check out both wonderful newsgroups. > From: amaze <B@B.B> > Organization: BT Openworld [quoted text clipped - 11 lines] >> Thanks, >> Ron |
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